The Cross Pharmacy
LBN: Qbaum Enterprises Llc
The Cross Pharmacy is an health care organization with primary practice located at 1025 Ne 1St St , Pryor OK 74361-4003. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Qbaum Enterprises Llc can be contacted via phone (918) 824-1300, or through Quattebaum, Brian via phone (918) 824-1300.
Contact Information
Primary practice address
1025 Ne 1St St
Pryor OK 74361-4003
Phone: (918) 824-1300
Fax: (918) 824-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 305308 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1154577245 |
|---|---|
| LBN Legal business name | Qbaum Enterprises Llc |
| DBA Doing business as | The Cross Pharmacy |
| Authorized official | Quattebaum, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2008 |
| Last updated | Oct 20th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154577245 | NPPES |
| Other | 2116542 | PK | |
| MEDICAID | 200205310A | PK | |
| MEDICAID | 200205310B | PK |
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